OSCE_Elbow_Flexibility

Question 1

How do you assess triceps flexibility?

Answer 1

Pt sitting

Step 1 - Place shoulder into full available flexion. Stabilize distal humerus to
maintain this position.

Step 2 - Slowly bend the elbow into as much flexion as possible, assessing
reproduction of symptoms along the way.

Step 3 - Measure the range.

Step 4 - Compare range L and R.

Positive test: Pt feels stretching along the triceps.

Negative test: Full range. No reproduction of symptoms

Gonio:
- Center: Lat epicondyle of elbow
- Stabilizing arm: along the humerus
- Moveable arm: along the radius

Compare left and right

Question 2

How do you assess flexibility biceps?

Answer 2

Pt supine, shoulder off the plinth

Step 1 - Pronate the F/A and flex the elbow.

Step 2 – Stabilize Step 1. Go to full available G/H extension, maintaining the F/A pronation
.
Step 3 – Stabilize Step 2. Slowly extend the elbow into as much extension as possible, assessing reproduction of symptoms along the way

Step 4 - Measure the range.

Step 5 - Compare range L and R

Positive test: Pt feels stretching along the biceps.

Negative test: Full range. No reproduction of symptoms

Gonio:
Center: Centered at lateral epicondyle of the elbow

Stabilizing arm: Along the humerus

Moveable arm: Along the radius

Chart as a negative value if cannot get to full elbow extension